Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: A randomized controlled trial

Jodi J. Frey; Philip J. Osteen; Tanya L. Sharpe; Amanda O. Mosby; Thomas Joiner; Brian Ahmedani; Derek Iwamoto; Boyoung Nam; Sally Spencer-Thomas; Jungyai Ko; Orrin D. Ware; Rachel Imboden; Michelle M. Cornette; Jon Gilgoff

doi:10.1111/sltb.12932

Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: A randomized controlled trial

Jodi J. Frey, Philip J. Osteen, Tanya L. Sharpe, Amanda O. Mosby, Thomas Joiner, Brian Ahmedani, Derek Iwamoto, Boyoung Nam, Sally Spencer-Thomas, Jungyai Ko, Orrin D. Ware, Rachel Imboden, Michelle M. Cornette, Jon Gilgoff

Department of Social Welfare

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Objective: This randomized controlled trial of the online intervention, man therapy (MT), evaluated efficacy to reduce suicidal ideation (SI) and depression among working-aged men. Method: Five-hundred and fifty-four men enrolled and 421 completed all surveys. Control Condition men explored the Healthy Men Michigan (HMM) website and Intervention Condition men explored HMM and MT. Hypotheses included men who used MT would report decreased SI and depression over time compared to Control Condition men. Results: Latent growth curve modeling revealed improvements in SI (slope = −0.23, p < 0.001, 95% CI: −0.29, −0.16) and depression (slope = −0.21, p < 0.001, 95% CI: −0.23, −0.18) over time for men in both groups; however, there was no difference in slope based on group assignment. Depression, lifetime suicide attempts, and interpersonal needs were associated with SI. Interpersonal needs and poor mental health were associated with depression. No group differences in change in risk and protective factors over time were observed. MT sub-group analyses revealed significant improvements in risk and protective factors. Conclusion: While a direct effect of MT versus HMM on SI or depression was not observed, men in both groups improved. Results suggest online screening might play a role in reducing SI and depression among men and there are potential benefits to MT related to mental health, social support, and treatment motivation.

Original language	English
Pages (from-to)	137-153
Number of pages	17
Journal	Suicide and Life-Threatening Behavior
Volume	53
Issue number	1
DOIs	https://doi.org/10.1111/sltb.12932
Publication status	Published - 2023 Feb

Bibliographical note

Funding Information:
The authors acknowledge the support and guidance provided by the grant's Science Officer, Dr. Deb Stone of the CDC. Additionally, we acknowledge the commitment and work by over 230 organizational partners throughout Michigan who promoted the Healthy Men Michigan project; Grit Digital, the developers of Man Therapy; Jarrod Hindman and staff at the Colorado Department of Public Health and Environment; our partners on the Healthy Men Michigan public health campaign, Mindwise Innovations, and Dr. Robert Cramer for guidance regarding the clinical models. 1

Funding Information:
The authors acknowledge the support and guidance provided by the grant's Science Officer, Dr. Deb Stone of the CDC. Additionally, we acknowledge the commitment and work by over 230 organizational partners throughout Michigan who promoted the Healthy Men Michigan project; Grit Digital, the developers of Man Therapy; Jarrod Hindman and staff at the Colorado Department of Public Health and Environment; our partners on the Healthy Men Michigan public health campaign, Mindwise Innovations, and Dr. Robert Cramer for guidance regarding the clinical models.

Publisher Copyright:
© 2022 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology.

All Science Journal Classification (ASJC) codes

Clinical Psychology
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/sltb.12932

Cite this

Frey, J. J., Osteen, P. J., Sharpe, T. L., Mosby, A. O., Joiner, T., Ahmedani, B., Iwamoto, D., Nam, B., Spencer-Thomas, S., Ko, J., Ware, O. D., Imboden, R., Cornette, M. M., & Gilgoff, J. (2023). Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: A randomized controlled trial. Suicide and Life-Threatening Behavior, 53(1), 137-153. https://doi.org/10.1111/sltb.12932

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title = "Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: A randomized controlled trial",

abstract = "Objective: This randomized controlled trial of the online intervention, man therapy (MT), evaluated efficacy to reduce suicidal ideation (SI) and depression among working-aged men. Method: Five-hundred and fifty-four men enrolled and 421 completed all surveys. Control Condition men explored the Healthy Men Michigan (HMM) website and Intervention Condition men explored HMM and MT. Hypotheses included men who used MT would report decreased SI and depression over time compared to Control Condition men. Results: Latent growth curve modeling revealed improvements in SI (slope = −0.23, p < 0.001, 95% CI: −0.29, −0.16) and depression (slope = −0.21, p < 0.001, 95% CI: −0.23, −0.18) over time for men in both groups; however, there was no difference in slope based on group assignment. Depression, lifetime suicide attempts, and interpersonal needs were associated with SI. Interpersonal needs and poor mental health were associated with depression. No group differences in change in risk and protective factors over time were observed. MT sub-group analyses revealed significant improvements in risk and protective factors. Conclusion: While a direct effect of MT versus HMM on SI or depression was not observed, men in both groups improved. Results suggest online screening might play a role in reducing SI and depression among men and there are potential benefits to MT related to mental health, social support, and treatment motivation.",

author = "Frey, {Jodi J.} and Osteen, {Philip J.} and Sharpe, {Tanya L.} and Mosby, {Amanda O.} and Thomas Joiner and Brian Ahmedani and Derek Iwamoto and Boyoung Nam and Sally Spencer-Thomas and Jungyai Ko and Ware, {Orrin D.} and Rachel Imboden and Cornette, {Michelle M.} and Jon Gilgoff",

note = "Funding Information: The authors acknowledge the support and guidance provided by the grant's Science Officer, Dr. Deb Stone of the CDC. Additionally, we acknowledge the commitment and work by over 230 organizational partners throughout Michigan who promoted the Healthy Men Michigan project; Grit Digital, the developers of Man Therapy; Jarrod Hindman and staff at the Colorado Department of Public Health and Environment; our partners on the Healthy Men Michigan public health campaign, Mindwise Innovations, and Dr. Robert Cramer for guidance regarding the clinical models. 1 Funding Information: The authors acknowledge the support and guidance provided by the grant's Science Officer, Dr. Deb Stone of the CDC. Additionally, we acknowledge the commitment and work by over 230 organizational partners throughout Michigan who promoted the Healthy Men Michigan project; Grit Digital, the developers of Man Therapy; Jarrod Hindman and staff at the Colorado Department of Public Health and Environment; our partners on the Healthy Men Michigan public health campaign, Mindwise Innovations, and Dr. Robert Cramer for guidance regarding the clinical models. Publisher Copyright: {\textcopyright} 2022 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology.",

year = "2023",

month = feb,

doi = "10.1111/sltb.12932",

language = "English",

volume = "53",

pages = "137--153",

journal = "Suicide and Life-Threatening Behavior",

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Frey, JJ, Osteen, PJ, Sharpe, TL, Mosby, AO, Joiner, T, Ahmedani, B, Iwamoto, D, Nam, B, Spencer-Thomas, S, Ko, J, Ware, OD, Imboden, R, Cornette, MM & Gilgoff, J 2023, 'Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: A randomized controlled trial', Suicide and Life-Threatening Behavior, vol. 53, no. 1, pp. 137-153. https://doi.org/10.1111/sltb.12932

TY - JOUR

T1 - Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men

T2 - A randomized controlled trial

AU - Frey, Jodi J.

AU - Osteen, Philip J.

AU - Sharpe, Tanya L.

AU - Mosby, Amanda O.

AU - Joiner, Thomas

AU - Ahmedani, Brian

AU - Iwamoto, Derek

AU - Nam, Boyoung

AU - Spencer-Thomas, Sally

AU - Ko, Jungyai

AU - Ware, Orrin D.

AU - Imboden, Rachel

AU - Cornette, Michelle M.

AU - Gilgoff, Jon

N1 - Funding Information: The authors acknowledge the support and guidance provided by the grant's Science Officer, Dr. Deb Stone of the CDC. Additionally, we acknowledge the commitment and work by over 230 organizational partners throughout Michigan who promoted the Healthy Men Michigan project; Grit Digital, the developers of Man Therapy; Jarrod Hindman and staff at the Colorado Department of Public Health and Environment; our partners on the Healthy Men Michigan public health campaign, Mindwise Innovations, and Dr. Robert Cramer for guidance regarding the clinical models. 1 Funding Information: The authors acknowledge the support and guidance provided by the grant's Science Officer, Dr. Deb Stone of the CDC. Additionally, we acknowledge the commitment and work by over 230 organizational partners throughout Michigan who promoted the Healthy Men Michigan project; Grit Digital, the developers of Man Therapy; Jarrod Hindman and staff at the Colorado Department of Public Health and Environment; our partners on the Healthy Men Michigan public health campaign, Mindwise Innovations, and Dr. Robert Cramer for guidance regarding the clinical models. Publisher Copyright: © 2022 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology.

PY - 2023/2

Y1 - 2023/2

N2 - Objective: This randomized controlled trial of the online intervention, man therapy (MT), evaluated efficacy to reduce suicidal ideation (SI) and depression among working-aged men. Method: Five-hundred and fifty-four men enrolled and 421 completed all surveys. Control Condition men explored the Healthy Men Michigan (HMM) website and Intervention Condition men explored HMM and MT. Hypotheses included men who used MT would report decreased SI and depression over time compared to Control Condition men. Results: Latent growth curve modeling revealed improvements in SI (slope = −0.23, p < 0.001, 95% CI: −0.29, −0.16) and depression (slope = −0.21, p < 0.001, 95% CI: −0.23, −0.18) over time for men in both groups; however, there was no difference in slope based on group assignment. Depression, lifetime suicide attempts, and interpersonal needs were associated with SI. Interpersonal needs and poor mental health were associated with depression. No group differences in change in risk and protective factors over time were observed. MT sub-group analyses revealed significant improvements in risk and protective factors. Conclusion: While a direct effect of MT versus HMM on SI or depression was not observed, men in both groups improved. Results suggest online screening might play a role in reducing SI and depression among men and there are potential benefits to MT related to mental health, social support, and treatment motivation.

AB - Objective: This randomized controlled trial of the online intervention, man therapy (MT), evaluated efficacy to reduce suicidal ideation (SI) and depression among working-aged men. Method: Five-hundred and fifty-four men enrolled and 421 completed all surveys. Control Condition men explored the Healthy Men Michigan (HMM) website and Intervention Condition men explored HMM and MT. Hypotheses included men who used MT would report decreased SI and depression over time compared to Control Condition men. Results: Latent growth curve modeling revealed improvements in SI (slope = −0.23, p < 0.001, 95% CI: −0.29, −0.16) and depression (slope = −0.21, p < 0.001, 95% CI: −0.23, −0.18) over time for men in both groups; however, there was no difference in slope based on group assignment. Depression, lifetime suicide attempts, and interpersonal needs were associated with SI. Interpersonal needs and poor mental health were associated with depression. No group differences in change in risk and protective factors over time were observed. MT sub-group analyses revealed significant improvements in risk and protective factors. Conclusion: While a direct effect of MT versus HMM on SI or depression was not observed, men in both groups improved. Results suggest online screening might play a role in reducing SI and depression among men and there are potential benefits to MT related to mental health, social support, and treatment motivation.

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Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: A randomized controlled trial

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

UN SDGs

Access to Document

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